Active NPI
Walter Jay Hoffman, M.D.
- Ophthalmology Physician
- Grand Junction, CO
National Provider Identifier
1124019112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 41908
- Practice address
- 1000 Wellington Ave
Ste a
Grand Junction, CO 81501-8180 - Phone
- (720) 524-1001
- Fax
- (720) 524-1121
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 41908 | CO | Primary |
Addresses
Primary practice location
1000 Wellington Ave
Ste a
Grand Junction, CO 81501-8180
Mailing address
3900 E Mexico Ave
Ste 102
Denver, CO 80210-3940
Phone (720) 524-1001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1124019112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 E MEXICO AVE",
"address_2": "STE 102",
"city": "DENVER",
"state": "CO",
"postal_code": "802103940",
"telephone_number": "720-524-1001",
"fax_number": "970-256-9149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WELLINGTON AVE",
"address_2": "STE A",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815018180",
"telephone_number": "720-524-1001",
"fax_number": "720-524-1121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMAN",
"first_name": "WALTER",
"middle_name": "JAY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "41908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.